FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2000458507> ?p ?o ?g. }

• W2000458507 endingPage "e67" @default.
• W2000458507 startingPage "e67" @default.
• W2000458507 abstract "Local doctors went on strike in Sierra Leone after it emerged that they would not be able to access a specialised British-run Ebola treatment unit for health-care workers. Miriam Shuchman reports. As Ebola rages through Sierra Leone, local health workers are among the hardest hit. Data from the US Centers of Disease Control and Prevention show that nearly 200 health staff (different cadres) were infected between May 23 and Oct 31 this year. According to media reports, 12 doctors are among the country's health worker cases, ten of whom have died. In early December, the Junior Doctors Association of Sierra Leone (JUDASIL) staged a strike, calling on authorities “to hastily facilitate the establishment of a specialised treatment centre for health workers”. Sierra Leone already has an Ebola treatment unit designated for health-care workers, which opened last month, but local doctors are blocked from accessing it. Staffed by British Army medics, at the British-built Ebola treatment complex in Kerry Town, the 12-bed health-care workers' unit only accepts local health-care workers from UK-funded Ebola treatment facilities, according to a letter from British authorities titled “Access Criteria for Kerry Town 12-bed Facility” that The Lancet has obtained (appendix). UK Department for International Development senior press officer Angela Balakrishnan confirmed that the health-care workers' unit is available for British and Sierra Leonean health-care workers who work at “a UK-supported facility”. Most Sierra Leonean doctors and all of the country's junior doctors work at government hospitals, so they are ineligible for admission. Junior doctor Ibrahim F Kamara who is on JUDASIL's executive told The Lancet that he thinks the British misled the country about their intentions when they described the facility they were going to build. “We're disappointed”, he said. By contrast, the 25-bed unit that the American military built for health-care workers infected with Ebola in Liberia accepts any international and Liberian health-care workers. Staffed by the US Public Health Service Commissioned Corps, the Monrovian Medical Unit has provided care for 16 patients since opening its doors in early November, including six who recovered from Ebola and two who were never infected, according to the Lieutenant Commander Kate Migliaccio of the Commissioned Corps. In late November, British Army officers met with leaders of JUDASIL and the Sierra Leone Medical and Dental Association to discuss the 12-bed unit at Kerry Town, according to Kamara. “After much pressure, they said they will accept Sierra Leonean doctors if beds are available”, he said. This month, when junior doctor Dauda Koroma became sick, he was transferred to the unit at Kerry Town and died there, Kamara said. Stephanie Mann of the Ministry of Defense said that the Ministry “wouldn't comment on individual cases due to patient confidentiality”, but background information provided to The Lancet confirms that Sierra Leonean nationals are able to gain access when there is spare capacity. Asked about the doctors' deaths, Sierra Leone's Minister of Health and Sanitation, Abu Bakarr Fofanah, told The Lancet, “To be frank and honest and candid, the best hope for our health-care workers to date, is to med evac them to more developed societies. That is the ideal situation.” Although most international volunteers infected with the virus in Sierra Leone have recovered after speedy evacuations, including British nurse William Pooley (now back working in Freetown), a Cuban doctor treated in Geneva who has since returned home, and an Italian physician currently stable at a hospital in Italy, attempts to evacuate locals have failed or faced delays. Fofanah mentioned two doctors for which the hoped-for transfers did not happen in time and they died in Sierra Leone. One was Martin Salia whose wife and children live in the USA. He was evacuated there only after he had been infected for nearly a week (an initial test had come back negative). He was quite sick when he arrived at Nebraska Medical Centre, NE, USA, and although the hospital had successfully treated two patients with Ebola, he did not survive. Now, Fofanah said, the country is working to support case management at various Ebola treatment units, “for example, how they can come in with dialysis machines, respirators, monitors”. But it is not clear how useful such technology would be in the local setting. The Kerry Town facility does not offer dialysis, nor does the Monrovia Medical Unit in Liberia. Instead, the medical units focus on providing quality supportive care. Kamara said that JUDASIL expects that a new specialised Ebola treatment unit for local health-care workers will open in Sierra Leone later this month, and he too is hoping it will have a dialysis machine. And, as of Dec 12, the junior doctors have begun returning to work. At Freetown's Connaught Hospital, where three doctors have been lost to Ebola, chief surgeon T B Kamara will be glad to see them. He told The Lancet that his hands had been full since the junior doctors “downed their tools”. Download .pdf (.62 MB) Help with pdf files Supplementary appendix UK Defence Medical Services Ebola Treatment FacilityMiriam Shuchman in her World Report (Dec 20, p e67)1 and the Lancet editorial (Dec 20, p 2174)2 raise the very important issue of the need for better care for doctors and other health-care workers putting their lives at risk managing Ebola in west Africa. However, some of the assertions and conclusions need to be balanced and indeed corrected. Full-Text PDF" @default.
• W2000458507 created "2016-06-24" @default.
• W2000458507 creator A5058762089 @default.
• W2000458507 date "2014-12-01" @default.
• W2000458507 modified "2023-10-18" @default.
• W2000458507 title "Sierra Leone doctors call for better Ebola care for colleagues" @default.
• W2000458507 doi "https://doi.org/10.1016/s0140-6736(14)62388-6" @default.
• W2000458507 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25530440" @default.
• W2000458507 hasPublicationYear "2014" @default.
• W2000458507 type Work @default.
• W2000458507 sameAs 2000458507 @default.
• W2000458507 citedByCount "9" @default.
• W2000458507 countsByYear W20004585072015 @default.
• W2000458507 countsByYear W20004585072016 @default.
• W2000458507 countsByYear W20004585072017 @default.
• W2000458507 countsByYear W20004585072022 @default.
• W2000458507 crossrefType "journal-article" @default.
• W2000458507 hasAuthorship W2000458507A5058762089 @default.
• W2000458507 hasConcept C116675565 @default.
• W2000458507 hasConcept C122637931 @default.
• W2000458507 hasConcept C138885662 @default.
• W2000458507 hasConcept C144024400 @default.
• W2000458507 hasConcept C145420912 @default.
• W2000458507 hasConcept C15744967 @default.
• W2000458507 hasConcept C159047783 @default.
• W2000458507 hasConcept C160735492 @default.
• W2000458507 hasConcept C17744445 @default.
• W2000458507 hasConcept C199539241 @default.
• W2000458507 hasConcept C2777189325 @default.
• W2000458507 hasConcept C2777469322 @default.
• W2000458507 hasConcept C2778137410 @default.
• W2000458507 hasConcept C2908647359 @default.
• W2000458507 hasConcept C2986740045 @default.
• W2000458507 hasConcept C2991983881 @default.
• W2000458507 hasConcept C3018567284 @default.
• W2000458507 hasConcept C41895202 @default.
• W2000458507 hasConcept C45355965 @default.
• W2000458507 hasConcept C512399662 @default.
• W2000458507 hasConcept C71924100 @default.
• W2000458507 hasConcept C99454951 @default.
• W2000458507 hasConceptScore W2000458507C116675565 @default.
• W2000458507 hasConceptScore W2000458507C122637931 @default.
• W2000458507 hasConceptScore W2000458507C138885662 @default.
• W2000458507 hasConceptScore W2000458507C144024400 @default.
• W2000458507 hasConceptScore W2000458507C145420912 @default.
• W2000458507 hasConceptScore W2000458507C15744967 @default.
• W2000458507 hasConceptScore W2000458507C159047783 @default.
• W2000458507 hasConceptScore W2000458507C160735492 @default.
• W2000458507 hasConceptScore W2000458507C17744445 @default.
• W2000458507 hasConceptScore W2000458507C199539241 @default.
• W2000458507 hasConceptScore W2000458507C2777189325 @default.
• W2000458507 hasConceptScore W2000458507C2777469322 @default.
• W2000458507 hasConceptScore W2000458507C2778137410 @default.
• W2000458507 hasConceptScore W2000458507C2908647359 @default.
• W2000458507 hasConceptScore W2000458507C2986740045 @default.
• W2000458507 hasConceptScore W2000458507C2991983881 @default.
• W2000458507 hasConceptScore W2000458507C3018567284 @default.
• W2000458507 hasConceptScore W2000458507C41895202 @default.
• W2000458507 hasConceptScore W2000458507C45355965 @default.
• W2000458507 hasConceptScore W2000458507C512399662 @default.
• W2000458507 hasConceptScore W2000458507C71924100 @default.
• W2000458507 hasConceptScore W2000458507C99454951 @default.
• W2000458507 hasIssue "9961" @default.
• W2000458507 hasLocation W20004585071 @default.
• W2000458507 hasLocation W20004585072 @default.
• W2000458507 hasOpenAccess W2000458507 @default.
• W2000458507 hasPrimaryLocation W20004585071 @default.
• W2000458507 hasRelatedWork W1979776523 @default.
• W2000458507 hasRelatedWork W1985254048 @default.
• W2000458507 hasRelatedWork W2037453993 @default.
• W2000458507 hasRelatedWork W2267502226 @default.
• W2000458507 hasRelatedWork W2471283794 @default.
• W2000458507 hasRelatedWork W2603998020 @default.
• W2000458507 hasRelatedWork W2907595994 @default.
• W2000458507 hasRelatedWork W3010073676 @default.
• W2000458507 hasRelatedWork W3022682619 @default.
• W2000458507 hasRelatedWork W3032467961 @default.
• W2000458507 hasVolume "384" @default.
• W2000458507 isParatext "false" @default.
• W2000458507 isRetracted "false" @default.
• W2000458507 magId "2000458507" @default.
• W2000458507 workType "article" @default.